Organization
LEONID IZRAYELIT MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID IZRAYELIT M.D. (OWNER)
(917) 650-0314
Entity
Organization
Contact information
Practice address
84-37 MAIN STREET, FOREST HILL, NY 11375
(718) 807-8805
Mailing address
84-37 MAIN ST, FOREST HILL, NY 11375
(718) 807-8805
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
207397
NY
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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